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An electronic delphi study to establish pediatric intensive care nursing research priorities in twenty European countries*

机译:电子德尔菲研究在20个欧洲国家/地区确立了儿科重症监护护理研究重点*

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摘要

To identify and to establish research priorities for pediatric intensive care nursing science across Europe. A modified three-round electronic Delphi technique was applied. Questionnaires were translated into seven different languages. European PICUs. The participants included pediatric intensive care clinical nurses, managers, educators, and researchers. In round 1, the qualitative responses were analyzed by content analysis and a list of research statements and domains was generated. In rounds 2 and 3, the statements were ranked on a scale of one to six (not important to most important). Mean scores and SDs were calculated for rounds 2 and 3. None. Round 1 started with 90 participants, with round 3 completed by 64 (71%). The seven highest ranking statements (≥ 5.0 mean score) were related to end-of-life care, decision making around forgoing and sustaining treatment, prevention of pain, education and competencies for pediatric intensive care nurses, reducing healthcare-associated infections, identifying appropriate nurse staffing levels, and implementing evidence into nursing practice. Nine research domains were prioritized, and these were as follows: 1) clinical nursing care practices, 2) pain and sedation, 3) quality and safety, 4) respiratory and mechanical ventilation, 5) child- and family-centered care, 6) ethics, 7) professional issues in nursing, 8) hemodynamcis and resuscitation, and 9) trauma and neurocritical care. The results of this study inform the European Society of Pediatric and Neonatal Intensive Care's nursing research agenda in the future. The results allow nurse researchers within Europe to encourage collaborative initiatives for nursing research
机译:确定并确定整个欧洲儿科重症监护护理科学的研究重点。应用了改进的三轮电子德尔菲技术。问卷被翻译成七种不同的语言。欧洲PICU。参加者包括儿科重症监护临床护士,管理人员,教育工作者和研究人员。在第1轮中,通过内容分析法对定性反应进行了分析,并生成了研究陈述和领域的列表。在第2轮和第3轮中,陈述按1到6的等级进行排名(从不重要到最重要)。计算第二轮和第三轮的平均得分和标准差。第一轮有90名参与者开始,第三轮有64位(71%)完成。排名最高的七个陈述(≥5.0平均分数)与临终护理,围绕放弃和维持治疗的决策,预防小儿重症监护护士的疼痛,教育和能力,减少与医疗相关的感染,确定适当护士人员配备水平,并将证据纳入护理实践。确定了9个研究领域的优先级,这些领域如下:1)临床护理实践,2)疼痛和镇静,3)质量和安全性,4)呼吸和机械通气,5)以儿童和家庭为中心的护理,6)道德; 7)护理专业问题; 8)血液动力学和复苏,以及9)创伤和神经危重症护理。这项研究的结果为将来欧洲儿科和新生儿重症监护协会的护理研究议程提供了依据。研究结果使欧洲范围内的护士研究人员能够鼓励护理研究方面的合作计划

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